WITNESSETH
That for and in consideration of a desire to contribute a share for the cause of education of Filipino
learners thru the Adopt-A-School Program of the Department of Education, the DONOR, has freely and
voluntary given, transferred and conveyed by way of donation to the DONEE, its successors and assigns free
and clear of any and all liens and encumbrances whatsoever all its rights, interest, and titles on:
(Briefly Describe the Donation to be Given)
TOTAL
NOTE:Use another sheet if necessary
IN WITNESS WHEREOF, the DONOR has hereto subscribed himself this 2nd day of September, 2014.
_____________________________________
(Signature Over Printed Name of Donor)
BEFORE ME, this _____ day of _______________, 2014 personally appeared to me with
Known to me and to me known to be the same persons who executed the forgoing instrument, and they
acknowledged to me that the same is free and voluntary act and deed, including that of the entities that they
represent.
This instrument refers to a Deed of Donation that consists of 2 pages, including this whereon this
acknowledgement is written, in which is signed by the parties concerned on each and every page thereof.
WITNESS MY HAND AND NOTARIAL SEAL, on the date and place first written above
NOTARY PUBLIC
Doc. No.
Page No.
Book No.
Series No.
The DONEE, for and in behalf of the School, hereby accepts and acknowledges the donation from the
_______________________________________________ thru its President ____________________________________.
(Name of the G/HRPTA) (Name)
For and in behalf of the school, the DONEE expresses his most sincere appreciation for the benevolence shown by
the DONOR.
Details of the Donation
In witness whereof, the DONEE has set his hands this 2 nd day of September 2014 in Jose Panganiban, Camarines
Norte
(School)
(Office Address)
__________________________ __________________________
(Signature Over Printed Name) (Signature Over Printed Name)